Brodmann Maeder Monika, Brugger Hermann, Pun Matiram, Strapazzon Giacomo, Dal Cappello Tomas, Maggiorini Marco, Hackett Peter, Bärtsch Peter, Swenson Erik R, Zafren Ken
1 Institute of Mountain Emergency Medicine , EURAC Research, Bolzano, Italy .
2 Department of Emergency Medicine, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland .
High Alt Med Biol. 2018 Mar;19(1):7-14. doi: 10.1089/ham.2017.0160. Epub 2018 Feb 9.
Brodmann Maeder, Monika, Hermann Brugger, Matiram Pun, Giacomo Strapazzon, Tomas Dal Cappello, Marco Maggiorini, Peter Hackett, Peter Baärtsch, Erik R. Swenson, Ken Zafren (STAR Core Group), and the STAR Delphi Expert Group. The STARdata reporting guidelines for clinical high altitude research. High AltMedBiol. 19:7-14, 2018.
The goal of the STAR (STrengthening Altitude Research) initiative was to produce a uniform set of key elements for research and reporting in clinical high-altitude (HA) medicine. The STAR initiative was inspired by research on treatment of cardiac arrest, in which the establishment of the Utstein Style, a uniform data reporting protocol, substantially contributed to improving data reporting and subsequently the quality of scientific evidence.
The STAR core group used the Delphi method, in which a group of experts reaches a consensus over multiple rounds using a formal method. We selected experts in the field of clinical HA medicine based on their scientific credentials and identified an initial set of parameters for evaluation by the experts.
Of 51 experts in HA research who were identified initially, 21 experts completed both rounds. The experts identified 42 key parameters in 5 categories (setting, individual factors, acute mountain sickness and HA cerebral edema, HA pulmonary edema, and treatment) that were considered essential for research and reporting in clinical HA research. An additional 47 supplemental parameters were identified that should be reported depending on the nature of the research.
The STAR initiative, using the Delphi method, identified a set of key parameters essential for research and reporting in clinical HA medicine.
布罗德曼·迈德、莫妮卡、赫尔曼·布鲁格、马蒂拉姆·普恩、贾科莫·斯特拉帕宗、托马斯·达尔·卡佩洛、马尔科·马焦里尼、彼得·哈克特、彼得·巴尔奇、埃里克·R·斯文森、肯·扎夫伦(STAR核心小组)以及STAR德尔菲专家组。临床高原研究的STARdata报告指南。《高原医学与生物学》。2018年第19卷,第7 - 14页。
STAR(加强高原研究)倡议的目标是制定一套统一的关键要素,用于临床高原(HA)医学的研究和报告。STAR倡议的灵感来源于心脏骤停治疗研究,其中统一数据报告协议“乌斯坦风格”的建立,对改善数据报告以及随后的科学证据质量起到了很大作用。
STAR核心小组采用德尔菲法,即一组专家通过正式方法经过多轮达成共识。我们根据其科学资质挑选了临床HA医学领域的专家,并确定了一组初始参数供专家评估。
最初确定的51名HA研究专家中,21名专家完成了两轮评估。专家们在5个类别(研究背景、个体因素、急性高山病和HA脑水肿、HA肺水肿以及治疗)中确定了42个关键参数,这些参数被认为是临床HA研究中研究和报告所必需的。还确定了另外47个补充参数,应根据研究性质进行报告。
STAR倡议采用德尔菲法,确定了一组临床HA医学研究和报告所必需的关键参数。